Home>>2019 04 issue list
[253£­256] Applications and future prospects of enhanced recovery after surgery during pediatric surgery
[Shu Qiang, Tou Jinfa]
DOI:10.3969/j.issn.1671-6353.2019.04.001
[Absract] Objective Enhanced recovery after surgery (ERAS) is a newly proposed concept for optimizing perioperative management.It has been maturely applied for adult surgery and yet infrequently for pediatric surgery.Successful experiences of adult ERAS are summarized along with the characteristics of pediatric surgery and the relevant studies of ERAS.And current deficiencies and future directions of ERAS are elaborated for pediatric surgery. [MORE...]
[PDF:723KB](958)
[257£­260] Conceptual implementation of enhanced recovery after Kasai surgery for biliary atresia
[Zhan Jianghua1, Xiong Xiqian2]
DOI:10.3969/j.issn.1671-6353.2019.04.002
[Absract] Objective Biliary atresia (BA) is not uncommon. However,its perioperative management is rather complicated. Recently ERAS concept has been widely applied for numerous pediatric surgical procedures.This article discusses the concept of ERAS during Kasai¡¯s operation for optimizing the treatment flows for BA and achieving a rapid recovery without compromising its operative efficacy. [MORE...]
[PDF:791KB](649)
[261£­266] Application of enhanced recovery after surgery for infantile inguinal hernia undergoing ambulatory surgery
[Huang Shoujiang1,2, Lv Chengjie2, Qian Yunzhong1, Qin Qi2, Wang Dongpi3, Hu Yan2, Li Canping1, Chen Rui2, Zhao Xiaoxia2, Tou Jinfa2]
DOI:10.3969/j.issn.1671-6353.2019.04.003
[Absract] Objective Objective To evaluate the effect of enhanced recovery after surgery (ERAS) guideline implementation on hospitalization stay,patient outcomes and hospitalization expense in infantile inguinal hernia.Methods A retrospective analysis was conducted for 571 infants with inguinal hernia from February 2015 to November 2018.In this cohort,233 patients underwent ambulatory surgery (AS group) and another 338 patients were treated conventionally (control group).AS and ... [MORE...]
[PDF:753KB](693)
[267£­271] Application of enhanced recovery after surgery for perforated appendicitis
[Lin Song1, Su Yingchun1, Zhou Sihai2, Zen Lan1, Li Long1]
DOI:10.3969/j.issn.1671-6353.2019.04.004
[Absract] Objective Objective To explore the application of enhanced recovery after surgery plus laparoscopic technique in children with perforated appendicitis.Methods Retrospective analyses were performed for 126 cases with perforated appendicitis from August 2015 to August 2018.According to preoperative preparation,anesthesia choice,laparoscopic appendectomy and postoperative treatment,they were divided into study group (n=63) and control group (n=63).Then oper... [MORE...]
[PDF:743KB](588)
[272£­276,298] Mini-invasive surgery and early enteral nutrition after surgery in fast recovery of congenital duodenal obstruction in neonates
[Xiao Shangjie1, Yang Wenyi2, Xu Lu1, Yuan Like1, Chen Yanfen1, Zhu Xiaochun1, Tian Song1, Huang Rong1]
DOI:10.3969/j.issn.1671-6353.2019.04.005
[Absract] Objective Objective To summarize the experience of mini-invasive laparoscopy and early enteral nutrition (EEN) after surgery for congenital duodenal obstruction and assess its value in fast recovery of congenital duodenal obstruction in neonates.Methods The clinical data of 41 newborns with congenital duodenal obstruction undergoing laparoscopic duodenal anastomosis from January 2017 to October 2018 were retrospectively analyzed.They were divided into two groups accor... [MORE...]
[PDF:764KB](483)
[277£­281] Application and skill exploration of laparoscopic and thoracoscopic technology in pediatric tumor resection
[Hou Peimin, Wang Dongming, Zhang Qiangye, Wang Jian, Mu Weijing, Li Aiwu]
DOI:10.3969/j.issn.1671-6353.2019.04.006
[Absract] Objective Objective To explore the feasibility,clinical value,operative skill and application prospect of laparothoracoscopic technology in the resection of pediatric tumor and sum up the experiences.Methods A retrospective analysis was conducted for the clinical data of 221 patients undergoing tumor resection by laparoscopy/thoracoscopy from January 2009 to December 2016.Results All pediatric tumor resections were operated through mini-invasively successfully,... [MORE...]
[PDF:799KB](650)
[282£­287] Necessity of femoral osteotomy in DDH of early age group:a prospective randomized control study protocol(FSODDH)
[He Jinpeng1,13, Zheng Chen1, Mei Haibo2,13, Xu Hongwen3,13, Guo Yueming4,13, Tang Shengping5,13, Jiang Fei6,13, Chen Shunyou7,13, Li Jin8,13, Shen Xiantao9,13, Li Ming10,13, Nan Guoxin11,13, Kang Xiaopeng12,13, Shao Jingfan1,13]
DOI:10.3969/j.issn.1671-6353.2019.04.007
[Absract] Objective Various treatments are available for developmental dislocation of the hip (DDH).It is still controversial whether femoral osteotomy is necessary for DDH children aged 18-36 months.Therefore CMPOS intended to further clarify the need for femoral osteotomy on the basis of a retrospective study and a multi-center prospective study.A total of 200 early-age unilateral DDH children were recruited and randomized into femoral osteotomy (n=100) and non-osteotomy (n=100) ... [MORE...]
[PDF:764KB](608)
[288£­293] Renal pelvis peristalsis frequency in different degrees of hydronephrosis caused by ureteropelvic junction obstruction in children
[Wei Chun1, He Dawei1,4, Gao Jie1, Lu Peng1, Wu Shengde1, Hua Yi1, Liu Feng1, Zhang Deying1, Liu Xing1, Lin Tao1, Wei Guanghui1,2,3,4]
DOI:10.3969/j.issn.1671-6353.2019.04.008
[Absract] Objective  Objective To evaluate renal pelvis peristalsis for different degrees of hydronephrosis. Methods Between October 2015 and June 2016,24 children with unilateral hydronephrosis as diagnosed by ultrasound were included.All children underwent retrograde ureteral catheter catheterization to hydronephrosis pelvis through cystoscopy and 21 cases underwent simultaneous catheterization to the contralateral pelvis.Both ureteral catheters were c... [MORE...]
[PDF:789KB](559)
[294£­298] Robot-assisted laparoscopic pyeloplasty in children:a report of 9 cases
[Li Ning, Zhou Xuefeng, Yuan Jiyan, Feng Jiexiong, Yang Jixin, Zhu Tianqi, Yu Kechi, Zhang Wen]
DOI:10.3969/j.issn.1671-6353.2019.04.009
[Absract] Objective Objective To analyze our preliminary data on robotic-assisted procedures in pediatric urology so as to provide rationales for future robotic-assisted procedures in pediatric urology.Methods From August 2015 to February 2016,9 pediatric patients underwent robotic-assisted laparoscopic pyeloplasty.There were 8 boys and 1 girl with a mean age of 7.6 (5.1-13.1) years.Clinical data was retrospectively analyzed.Results All 9 procedures were successfully com... [MORE...]
[PDF:1410KB](588)
[299£­303] Efficacies of different surgical approaches for pediatric incarcerated inguinal hernia
[Zhao Zheng, Xi Hongwei]
DOI:10.3969/j.issn.1671-6353.2019.04.010
[Absract] Objective Objective To explore the clinical application value of transumbilical laparoendoscopic single-site surgery (LESS) vs traditional open surgery for infantile incarcerated inguinal hernia (¢òH).Methods Transumbilical laparoendoscopic single-site herniorrhaphy was performed in 58 pediatric ¢òH patients from January 2014 to February 2017.And another 55 pediatric patients underwent traditional open operation.The surgical outcomes of ¢òH patients were retrospectively ... [MORE...]
[PDF:1017KB](621)
[304£­309,314] Preoperative evaluation strategy and operative opportunity of 4 cases of thoracoabdominal conjoined infant
[Yan Bin, Yu Jiakang, Zhong Wei, He Qiuming, Wang Zhe, Li Sha]
DOI:10.3969/j.issn.1671-6353.2019.04.011
[Absract] Objective Objective To summarize the experiences of treating thoracoabdominal conjoined infants and discuss the preoperative evaluations and treatment strategies of conjoined infants.Methods The clinical data of 4 hospitalized cases of thoracoabdominal conjoined infants from 2009 to 2016 were reviewed.The imaging evaluation strategy,influence of complicated malformation on operative opportunity,surgical separation techniques and diagnosis and treatment process of thor... [MORE...]
[PDF:1624KB](442)
[310£­314] Analysis of clinical characteristics and treatment 152 cases of pediatric patients with hepatic cystic echinococcosis
[Asigulireyimu1, Li Wanfu2, Ma Zhu2, Liang Ting2, Fan Jiarong2]
DOI:10.3969/j.issn.1671-6353.2019.04.012
[Absract] Objective Objective To explore the clinical characteristics,diagnosis and treatment of hepatic cystic echinococosis in children.Methods The clinical data of 152 pediatric patients with hepatic cystic echinococcosis were analyzed.Their clinical characteristics,manifestations,types,diagnosis and treatment were retrospectively reviewed.Results All patients included intrahepatic multiple cystic echinococcosis (n=52),hydatid disease involving other organs ([MORE...]
[PDF:740KB](477)
[315£­318] Value of ultrasonography in the diagnosis of skull lesions of Langerhans cell histiocytosis in children
[Yang Xiuzhen, Ye Jingjing, Li Xiaoying, Yu Jin, He Jin]
DOI:10.3969/j.issn.1671-6353.2019.04.013
[Absract] Objective Objective To explore the features and value of ultrasonography in diagnosing skull lesions of Langerhans cell histiocytosis in children.Methods The ultrasonographic findings of 19 cases of skull lesions of Langerhans cell histiocytosis were analyzed retrospectively.The ultrasonographic features were summarized and compared with the findings of computed tomography (CT) and magnetic resonance imaging (MRI).Results Twenty-five lesions in 19 cases were re... [MORE...]
[PDF:1051KB](459)
[319£­322] Application of laryngeal mask airway with spontaneous breathing under general anesthesia during holmium laser ablation for infantile subglottic stenosis
[Huang Weijian, Li Yongle, Chen Peiling, Fang Qin, Liu Jing, Hu Zurong]
DOI:10.3969/j.issn.1671-6353.2019.04.014
[Absract] Objective Objective To explore the feasibility and safety of laryngeal mask airway (LMA) with spontaneous breathing under general anesthesia during holmium laser ablation for infants with subglottic stenosis.Methods Eight infants with acquired subglottic stenosis undergoing holmium laser ablation from January 2017 to December 2017 were enrolled.All of them received general anesthesia with spontaneous breathing using LMA.Patient characteristics,cause of subglottic sten... [MORE...]
[PDF:1043KB](476)
[323£­325] Medical journals facilitate hospital discipline construction
[Wang Kewei, Wang Ailian, Tan Lihong]
DOI:10.3969/j.issn.1671-6353.2019.04.015
[Absract] Objective As a major attribute of hospital discipline development service,medical journals may impact and promote hospital discipline construction.This article discusses how medical journals can help hospital discipline construction and believes that medical journals reflect the discipline strength of hospitals and constitute the brand elements of hospital discipline construction.Discipline development builds the academic quality of journals and elevates connotation and brand.These two... [MORE...]
[PDF:707KB](358)
[326£­330] Neonatal testicular torsion:a report of four cases and literature review
[Yu Mingming, Yu Zhongqin, Yang Jinlong]
DOI:10.3969/j.issn.1671-6353.2019.04.016
[Absract] Objective Objective To explore the diagnoses,differential diagnosis and therapy of neonatal testicular torsion (NTT).Methods The clinical manifestations,physical examinations,auxiliary examinations,therapeutic options and follow-ups of four NTT cases over the last two years were analyzed and the relevant literature was reviewed.Results Among four cases,oscheocele occurred at birth (n=3) and Day 8 (n=1).All lesions were affected at the left side.Af... [MORE...]
[PDF:1236KB](608)
[331£­334] Expressions of OPG and RANKL in tibia bone and periosteum of patients with congenital tibial pseudarthrosis of the tibia in children
[Zhu Guanghui, Mei Haibo, Liu Kun, Tang Jin, Wu Jiangyan, Liu Yaoxi, Lei Ting]
DOI:10.3969/j.issn.1671-6353.2019.04.017
[Absract] Objective Objective To explore the expressions of osteoprotegerin (OPG) and nuclear factor kappa B receptor activator ligand (RANKL) in tibia bone and periosteum of patients with congenital tibial pseudarthrosis of the tibia (CPT) and tibial fracture in children and analyze its possible significance.Methods From January 2016 to February 2018,17 cases of tibia bone and periosteum of CPT and 10 cases of tibia bone and periosteum of tibial fracture were collected.Strep A... [MORE...]
[PDF:1357KB](478)
[335£­340] Preliminary study of MicroRNA differential expression in hypospadias
[Huang Enfu1, Chen Jiao1, Cao Xu1, Feng Xiao2, Zhang Ya2, Zhou Yun1]
DOI:10.3969/j.issn.1671-6353.2019.04.018
[Absract] Objective Objective To detect the differential expression of miRNAs in foreskin tissue related to hypospadiac deformation in etiology,explore the possible role for preoperative human chorionic gonadotropin (HCG) treatment for facilitating surgical operation and reduce the complications.Methods Foreskin tissue was collected for total RNA extraction from 9 cases of hypospadiac children including 3 cases with preoperative HCG treatment and 3 children with phimosis as con... [MORE...]
[PDF:2697KB](511)
[341£­344] Surgical indications for varicocele in youth and adolescence
[Zheng Jiewen1,2, Tang Yunman1,2]
DOI:10.3969/j.issn.1671-6353.2019.04.019
[Absract] Objective As one of the most common reproductive system diseases in pediatric urology,varicocele (VC) in adolescents is a frequent cause of male infertility.There is no consensus on the necessity of early surgical treatment and controversy exists among international guidelines/consensus.It remains difficult to evaluate the semen analysis,testicular volume,fertility and surgical outcomes.Through literature review,surgical indications of VC in adolescents were discussed. [MORE...]
[PDF:1098KB](646)